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COMMUNITY BRIDGES INC NPI 1093960304


NPI Information

NPI: 1093960304
Provider Name: COMMUNITY BRIDGES, INC

Doing Business As: GLOBE STABILIZATION AND RECOVERY UNIT

Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 03D2036585

Address:
5734 EAST HOPE DRIVE
SUITE 2
GLOBE, AZ
ZIP 85501
Phone: (928) 425-2415
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COMMUNITY BRIDGES, INC is a case management in Globe, AZ. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. COMMUNITY BRIDGES, INC NPI is 1093960304. The provider is registered as an organization entity type.
The provider Is Doing Business As Globe Stabilization And Recovery Unit.

The provider's business location address is:

5734 EAST HOPE DRIVE
SUITE 2
GLOBE, AZ
ZIP 85501
Phone: (928) 425-2415
Fax: (928) 425-2464

The provider's authorized official is John F Hogeboom .
The authorized official title is Vp/coo and has the following contact phone number (480) 831-7566.

The CLIA number assigned to this NPI record is 03D2036585 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 2/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthOTC6025ARIZONANo
2251J00000XNursing CareOTC6025ARIZONANo
3261QM0850XClinic/CenterAdult Mental HealthOTC6025ARIZONANo
4261QH0100XClinic/CenterHealth ServiceOTC6025ARIZONANo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderOTC6025ARIZONANo
6261QR1300XClinic/CenterRural HealthOTC6025ARIZONANo
7291U00000XClinical Medical LaboratoryOTC6025ARIZONANo
8343900000XNon-emergency Medical Transport (VAN)OTC6025ARIZONANo
9251B00000XCase ManagementOTC6025ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z145164OTHERARIZONAMEDICARE PTAN
2388723MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.